First inspection of a small supported living service providing personal care to one person, rated Good across all five key questions with strong adherence to Right Support, Right Care, Right Culture principles. Minor improvements were identified around medicines auditing detail and timeliness of care record entries, both of which the registered manager began addressing during the inspection.
Concerns (3)
minor
Record keeping
: “We found a small number of instances of care notes not being updated in a timely fashion. The registered manager addressed this during the inspection.”
minorGovernance: “Some audits could be improved further with the inclusion of more details around what good practice looked like, particularly the medicines auditing.”
minorStaff training: “Some staff felt they would benefit from further bespoke training to help support the person in the least restrictive way.”
Strengths
· Consistent, fully recruited staff team with minimal reliance on agency staff, providing continuity of care
· Use of Positive Behaviour Support (PBS) and adherence to Right Support, Right Care, Right Culture principles
· Detailed, person-centred support plans and risk assessments regularly reviewed
· Strong multi-agency working with external health and social care professionals
· Safe medicines management with regular competency assessments and audits
Quality-Statement breakdown (18)
safe: Systems and processes to safeguard people from the risk of abuseNot rated
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongNot rated
safe: Staffing and recruitmentNot rated
safe: Using medicines safelyNot rated
safe: Preventing and controlling infectionNot rated
effective: Staff support: induction, training, skills and experienceNot rated
effective: Supporting people to live healthier lives, access healthcare services and supportNot rated
effective: Ensuring consent to care and treatment in line with law and guidanceNot rated
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawNot rated
effective: Supporting people to eat and drink enough to maintain a balanced dietNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversity; Respecting and promoting people's privacy, dignity and independenceNot rated
caring: Supporting people to express their views and be involved in making decisions about their careNot rated
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesNot rated
responsive: Meeting people's communication needsNot rated
responsive: Improving care quality in response to complaints or concernsNot rated
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving careNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringNot rated
well-led: Working in partnership with othersNot rated